Healthcare Provider Details

I. General information

NPI: 1538217922
Provider Name (Legal Business Name): DAVID R. SCHECTER, MD., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 NORTH OREGON STREET
EL PASO TX
79902
US

IV. Provider business mailing address

1220 NORTH OREGON STREET
EL PASO TX
79902
US

V. Phone/Fax

Practice location:
  • Phone: 915-545-1484
  • Fax: 915-533-6685
Mailing address:
  • Phone: 915-545-1484
  • Fax: 915-533-6685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD8074
License Number StateTX

VIII. Authorized Official

Name: DAVID R SCHECTER
Title or Position: OWNER
Credential: MD
Phone: 915-545-1484